Posted by iforgotmypassword on September 16, 2006, at 13:05:51
In reply to Re: Looks like ECT » willyee, posted by SLS on September 16, 2006, at 12:18:02
like nardil, or maybe parnate... NOW ONE THING TO CONSIDER! MAOIs are notorious for POOP-OUT. not like ECT isn't, but if you have an inital stellar response to an MAOI, would it be easy to get back where you are and me approved for ECT asap? would they even notice your depression, my experience has been many doctor's don't even recognize depression effectively when it becomes chronic, and is predominantly centered around certain symptomology like anhedonia, and this may be how you will be after MAOI poopout.
the unique type of serotenergic effect from MAOIs may effectively blast your visible (and not inner) dysphoric symptoms and on a relatively permanent basis. but if your inability to enjoy life in any meaningful way comes back, what use is this? what if they don't realize that you are in hell again? you cannot afford to burn this bridge (in my mind.)
people can talk about all of these grand and elaborate pharmacological intervention, but ask yourself how long did it take them to find them and how much of their life was lost? was the huge search worth it when considering time and life lost?
yeah... buprenorphine, T3-T4, buspar, elaborate combinations that mean nothing to most doctors, yaddi yadda. would it be useful to try these with doctors when it takes so much effort for them to let you try them, and even when they do its another teeth pulling excercise to get them to bring it up to meaningful doses? and even if they are somewhat willing to titrate up the doses, consider the time involved in getting the effective doses and often higher than typical effective doses you will need to try... and then be set up for another failure. do you have the current brainpower and mental state to devote to this? your ability to articulate given everything amazes me, i am nearly jealous, but it takes a lot of involved pharmaceutical consideration on YOUR PART, and the time... what if it takes years?!
i can tell you i have tried so much of this, it has involved more devotion than any doctor has been willing to give me, and it hasnt done sh** for me. i am stilll always miserable and living no life. my life is terrible, and i cannot believe p-docs are okay having me live like this. i wonder what i need to that i am not telling them, or if it is my drama-filled past they have on the chart. if i had ECT offered i would take it. what have i gained from twisting my brain on this crap? nothing.
consider also that IF YOU RESPOND TO ECT, the DOOR WILL LIKELY NOT BE SHUT IF YOU POOPOUT. doctors seem to be generally very understanding that if ECT has worked for you, they will let you do it again. they sound like they are willing to go the mile with you. if you need maintenace treatments, it sounds like they would probably be receptive to the idea. I WOULD STILL RECOMMEND INITIALLY TRYING MODERATE OR HIGH DOSE BIFRONTAL (NOT LOW TO MODERATE DOSE BITEMPORAL, I.E. TYPICAL UNILATERAL) OR HIGH DOSE RIGHT UNILATERAL.
from everything i read ECT is getting better. with the advances in bifrontal just over the last few years! the studies of drugs that help fight congnitive effects, like ketamine, and now donepezil (from just this month! http://www.ectjournal.com/pt/re/ject/abstract.00124509-200609000-00002.htm;jsessionid=FM6XwBFndGhJPhY84MDCLJ6pwtg9NpxxvFvrFhQL2Gq9D6nvngf4!1209472165!-949856144!8091!-1?index=1&database=ppvovft&results=1&count=10&searchid=1&nav=search )
and even if some freak accident happens, and your memory is blasted for the last 3 years... was how you have lived for the last 3 years include anything you really really would mourn the rememberance of? cognitive effects generally diminish, and you may be able to ask for cognition enhancers if it is an ultrapervasive problem. and if it does help, and the memory thing is too much, consider that when you go again post-possible-poopout, all of the new research to help get rid of cognitive effects they may know about and you may be easily able to ask to have used.
oh, do have painkillers ready for headaches, if you do this.
poster:iforgotmypassword
thread:686296
URL: http://www.dr-bob.org/babble/20060909/msgs/686573.html